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Saying Goodbye to These Sad, Saggy Boobies. Richmond, VA

ORIGINAL POST

Hey everyone, I'm Sarah and I'm 24 years old and...

sapoland
$10,000
Hey everyone, I'm Sarah and I'm 24 years old and in nursing school! I am scheduled to have my breast reduction on the 16th, during my five week long winter break. My pre-op appointment with the PS is tomorrow morning, so I'm really excited to learn more details about the time, how long recovery is, his rules for post op, etc.

My background:
I blossomed very early in every sense. I honestly don't even remember owning a B cup. I was pretty happy having a C while that lasted. It fit my body well and even though I was receiving inappropriate attention at such a young age, I didn't feel insecure about them. I distinctly remember the moment some lady sizing me told me I needed a D...I was still in middle school!! I'm pretty sure I cried in the dressing room.
Anyway, my mom kept telling me to inform my doctor at every appointment about my back pain and neck pain, and how my boobs would give me issues when I was active (trying to get referrals to a PS and hopefully coverage for a reduction). After awhile of that I got tired of being told by my doctor to try various exercises, stretches, fixing my posture (uh hello, why do you think my posture sucks in the first place?)

10 years later and despite me not having children, my boobs are flat, wide, and saggy! My nipples stare at the floor. It's so sad! I had completely forgotten about the option of having a breast reduction because in the last few years I've been dealing with more severe pain and health issues caused by endometriosis. Now that that is semi-controlled, I am noticing my back and shoulder pain more and more. While sitting in class, I sometimes get the feeling of rubber bands snapping between my shoulder blades. When I try to sit straight and not slouch, I can only maintain it for so long before my back starts to hurt.
I have a constant red, bumpy line where the underwire sits under my boobs. My straps dig into my shoulders. I haven't been able to find a bra that actually fits and supports me yet, so I know for sure I'm not wearing the right size. I'm managing to fit into a 42DD, but one bra gives me under-boob, and the other (the tan one in my picture) doesn't lift the girls any. I am so excited to eventually be able to find a bra in an actual store that fits me and isn't matronly!

My consultation for this was way back in May. I initially went just to see if insurance would even approve me. He assessed my breasts, recorded some measurements, briefly went through my history, then took some pictures. He told me I am a great candidate and told me he felt a C cup would be perfect for my body. A few weeks later, I found out that my insurance will cover it 100% after the deductible has been met! I unfortunately wasn't able to have it done over the summer because I had just started a new job and didn't want to take off for so long in the middle of training. We asked insurance to extend my approval to December. They said yes, so waaaay back in June, I giddily scheduled my reduction.

What I know so far is that he will likely use the anchor incision, I'm staying overnight at the hospital and having the drains removed prior to discharge the next day. Other than that....I'm clueless! I'll update tomorrow after my appointment!

sapoland's provider

Steven Montante, MD

Steven Montante, MD

Board Certified Plastic Surgeon

Replies (1)

User Avatar
December 4, 2014
I was about your size before my BR on Sept 4. See my profile for some pics. Good luck
December 4, 2014
They look great!! Have they settled or dropped anymore since your last pic? I'd love to see them currently. I'm trying to gauge how mine will look at various intervals, haha :)
User Avatar
December 4, 2014
Yes, I am 3 months postop today, so I plan on taking a couple of pics. They have dropped a bit, but that actually feels more comfortable. I fit a full B/ small C now, but lefty has always been a bit more swollen so seems fuller still. PS said it still has a little fluid retained in which will disipate over time, hopefully they will even up.
UPDATED FROM sapoland
11 days pre

Pre-op appointment done and out of the way.

sapoland
Had my pre-op this morning. I received prescriptions for Valium, zofran, and Percocet. I will need to be at the hospital at 5:30am Dec 16th...which means leaving my house at 4am. Yikes!!

Anyway, he says because of the width of my breasts, I'm likely going to be between a full C or D. Hmmm...well I told him I'd rather be on the smaller side than the larger, since they will probably grow a bit when I decide to have a baby and all that. He says not to ice them afterwards, no compression stuff, just cheap, comfy, supportive sports bras for the first 2-3 weeks. I can do underwire at 3-4 weeks if it's comfortable for me. I can do some brisk walking by 2 or 3 weeks if it's not uncomfortable. I told him I was deathly afraid of necrosis, but he doesn't seem to think I have anything to worry about since I don't have any of the risk factors associated with that.
Ummmm...he also said at my post op appointment he will write me a script for scar stuff. I thought that was interesting. I can't remember if there was anything else, but if I remember something later I'll post it in a comment. I'm so excited, but sooooo nervous!!!

Replies (1)

User Avatar
December 4, 2014
I would avoid underwires for way longer than he is stating...give your incisions a break. Mine were wide too, but my PS was still able to get them down to a full B/small C, and they look fine to me. Keep reminding him, especially right before going into OR, that he should be as aggressive as is medically advisable to get to a C. (If that is what you want) I think the PS sometimes takes the easier road by not taking as much as the patient needs/wants.
December 5, 2014
Yeah, I will definitely be aiming for support and comfort until I go back to school Jan 12th. Even then I'll probably still wear a sports bra under my scrubs on clinical days! I can't do that now cause my neck feels like it's going to snap by the end of the day, lol
UPDATED FROM sapoland
6 days pre

One more week!

sapoland
By this time next week I will be relaxing (or zonked out) in my hospital room...hopefully without pain!

I have been approved for a 2nd position in the hospital I work at, so all this week I will be orienting/training for that so I am ready to go as soon as I am healed up enough to come back to work. I'm feeling a bit overwhelmed that I even applied for a 2nd position since I'm in nursing school and already have a hard enough time not driving off a bridge (lol, joke) but hubs and I are both trying to make ends meet without as much help, so I guess I'll deal. On the bright side, at least I'm almost guaranteed an RN position when I graduate.

Back to the surgery...I was scheduled to do my pre-op testing tomorrow, but the pre-op nurse called and went through my history and all of that information and agreed with the surgeon that there isn't a need for me to have any testing done other than the required stuff the morning of surgery, so yay! Since I won't be doing that, I won't have the opportunity to pick up the special skin prep stuff for the night/morning before surgery, so I am going to try to see if I can grab some from work. Otherwise, she said using Dial soap will do just fine. So I guess that's it for now. I will update with more pictures some time before surgery. Until then, I'll just be slaving away in the ER...

Hope everyone is having a great week! :)

Replies (1)

User Avatar
December 10, 2014
You can probably get some chlorhexidine gluconate as an antibacterial skin cleanser at your work. I used it every shower until incisions healed. If you don't find at work, buy under brand Hibiclens or generic at pharmacy.
December 12, 2014
I didn't know to look at the pharmacy...awesome, thanks! I'll check that out. My supervisor was on a tirade about the hospital losing money cause patients aren't charged for things they're supposed to be charged for. We apparently lost $12,000 alone in finger pulse ox sticker type readers. That is insane.
December 12, 2014
Thus....I didn't want to ask about free skin prep stuff lol